Indiana
Professional Licensing Agency
Mark Miller Farthing
Controlled Substance Registration - Dentist
License number
12008383B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8602 EAST 10TH STREET, INDIANAPOLIS IN 46219
indianalicensing.org
ID 5103510
LAST UPDATED 2024-03-30 14:20:02 UTC
LAST UPDATED 2024-03-30 14:20:02 UTC
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